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UHC Preferred Dual Complete FL-D001 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-D001 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Dual Complete FL-D001 (HMO D-SNP) in 2025, please refer to our full plan details page.
UHC Preferred Dual Complete FL-D001 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Miami-Dade and Broward Counties. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Preferred Dual Complete FL-D001 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Preferred Dual Complete FL-D001 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Dual Complete FL-D001 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Preferred Dual Complete FL-D001 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.70. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan has a $590 deductible for prescription drugs. Once you meet your deductible, you will pay the costs for your drugs. This plan's premium may be reduced if you qualify for the low-income subsidy, with a monthly premium of $20.30.
Additional Benefits
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan offers a wide range of benefits with a focus on keeping your costs low. Many services have no copay, including primary care, outpatient substance abuse, hearing exams, vision services, dental services, and home health services. The plan also covers inpatient hospital stays with a $1890 copay per stay, emergency services with a $110 copay, and offers coverage for ambulance and transportation services with no copay. You'll also find coverage for medical equipment, diagnostic services, and skilled nursing facilities with no copay for the first 100 days.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you will pay a copay of $1890 per stay, and additional days have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered. Inpatient Hospital Psychiatric services have a copay of $1890 per stay, and additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services include coverage for outpatient hospital services with 0% to 20% coinsurance, observation services with 20% coinsurance, and outpatient substance abuse services with no copay for individual and group sessions. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered with no copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, and transportation services to plan-approved health-related locations. Ground and air ambulance services have no coinsurance and no copay. Transportation services to plan-approved health-related locations have no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan. Emergency Services have a $110 copay and no coinsurance. Urgently Needed Services and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan covers primary care physician services with a coinsurance of 0% to 20%, chiropractic services with no copay, occupational therapy services with no copay and a coinsurance of 0% to 20%, physician specialist services with no copay, mental health specialty services with no copay, podiatry services with a coinsurance of 20% for routine foot care, and no copay for Medicare-covered podiatry services, other health care professional services with no copay, psychiatric services with no copay, physical therapy and speech-language pathology services with a coinsurance of 0% to 20%, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive Services include coverage for Medicare-covered preventive services, annual physical exams with no copay, and additional preventive services, including fitness benefits, in-home support services, and home and bathroom safety devices and modifications. Other services, such as health education, and counseling services are not covered.
Hearing Services See details
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan covers hearing exams with no copay and prescription hearing aids with a maximum benefit of $2200 per year, with no copay for prescription hearing aids (all types), and OTC hearing aids with no copay. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision Services See details
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan covers eye exams and eyewear with no copay, including routine eye exams, contact lenses, eyeglasses (lenses and frames), and upgrades; however, eyeglass lenses and eyeglass frames are not covered. The plan provides a combined maximum of $300 per year for eyewear.
Dental Services See details
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan covers Medicare dental services, oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, prosthodontics (removable), and oral and maxillofacial surgery with no copay. Adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. There is no copay for Medicare Part B Insulin Drugs, and no copay for Medicare Part B Chemotherapy/Radiation Drugs. There is no copay for Other Medicare Part B Drugs.
Dialysis Services See details
Dialysis Services are covered under the UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan. There is no copay for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has no coinsurance and no copay, but Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have no coinsurance and no copay. Diabetic Equipment is covered with no copay for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests have no copay, while Lab Services have no copay. Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization, with no copay for days 1-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Preferred Dual Complete FL-D001 (HMO D-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits with no copay, but Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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